| NPI | 1942867494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-11723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R11495) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-06-30 |